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Evaluation of the efficacy of a resident's training program in delivering bad news in Perinatology using standardized patients

Grant number: 13/24185-0
Support Opportunities:Regular Research Grants
Duration: May 01, 2014 - April 30, 2016
Field of knowledge:Health Sciences - Medicine - Maternal and Child Health
Principal Investigator:Eliana Martorano Amaral
Grantee:Eliana Martorano Amaral
Host Institution: Centro de Atenção Integral à Saúde da Mulher (CAISM). Hospital da Mulher Professor Doutor José Aristodemo Pinotti. Universidade Estadual de Campinas (UNICAMP). Campinas , SP, Brazil
Associated researchers: Maria Sílvia Vellutini Setubal


To delivery bad news to a patient and the family is one of the most difficult tasks faced by health professionals. How bad news are given has an enormous impact on its resolution. Given the expectations involved in having a baby and the psychological changes that occur during pregnancy, labor and delivery, delivering bad news requires specific skills that, in general, health care workers have no training for. There is a consensus that empathy and communication skills can be learned and should be taught. Among the educational programs available and greatly used is the SPIKES protocol developed to delivery bad news in oncology. Nevertheless, there is no evidence about the efficacy of this program in perinatology. Objectives: To evaluate the efficacy in teaching the SPIKES model to deliver bad news to standardized patients to residents from the gynecology/obstetric, pediatrics and neonatology programs comparing to residents from the same programs who did not participate in the training. Subjects and Methods: Randomized clinical trial with all the first, second third and four year residents of these programs randomly assigned to participate or not in the SPIKES training program. The same program will be offer to the control group after completion of data collection and data analysis. Data analysis: performance in the first (before training) simulated encounter with an SP compared to the second one for both groups (intervention and control) and comparison among the two groups in both encounters. Qui-square and t-student statistical tests will be used for data analysis. (AU)

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
MARIA SILVIA VELLUTINI SETUBAL; MARIA ÂNGELA REIS GOES MONTEIRO ANTONIO; ELIANA MARTORANO AMARAL; JOHN BOULET. Aprimoramento das habilidades de residentes em perinatologia para comunicar más notícias: um estudo de intervenção randomizado. Revista Brasileira de Ginecologia e Obstetrícia, v. 40, n. 3, p. 137-146, . (13/24185-0)
VELLUTINI SETUBAL, MARIA SILVIA; GOES MONTEIRO ANTONIO, MARIA ANGELA REIS; AMARAL, ELIANA MARTORANO; BOULET, JOHN. Improving Perinatology Residents' Skills in Breaking Bad News: A Randomized Intervention Study. Revista Brasileira de Ginecologia e Obstetrícia, v. 40, n. 3, p. 137-146, . (13/24185-0)
VELLUTINI SETUBAL, MARIA SILVIA; GONCALVES, ANDREA VASCONCELOS; ROCHA, SHEYLA RIBEIRO; AMARAL, ELIANA MARTORANO. Programa de treinamento para comunicação de más notícias baseado em revisão de vídeos e na estratégia SPIKES: o que pensam os residentes de perinatologia?. Revista Brasileira de Ginecologia e Obstetrícia, v. 39, n. 10, p. 552-559, . (13/24185-0)

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